Application-ID | SHDHS-86732-2024-2025 |
---|---|
School Year | 2425 |
Reviewed | No |
Attending | Yes |
Primary Parent/ Guardian Information | |
Primary Parent/ Guardian Name | aaron haubner |
Primary Parent / Guardian Email | Email hidden; Javascript is required. |
Primary Parent / Guardian Phone | (859) 962-2931 |
Primary Parent / Guardian Address | 11450 Wynfair Court Walton, Kentucky 41094 Map It |
Primary Parent/ Guardian Marital Status | Divorced |
Primary Parent/ Guardian Relationship to Student | Parent (Father) |
Primary Parent / Guardian Legal Custody (yes/no) | Yes |
Are you a Saint Henry District High School alumni? | No |
Family Religion | Christian |
Family Parish Membership | Immaculate Heart of Mary |
Second Parent/ Guardian Information | |
Second Parent/ Legal Guardian Name | Jamie Haubner |
Second Parent/ Legal Guardian Email | Email hidden; Javascript is required. |
Second Parent/ Legal Guardian Primary Phone | (859) 266-5364 |
Second Parent/ Legal Guardian Address | 3682 Avalon Drive Burlington, Kentucky 41005 Map It |
Second Parent/ Legal Guardian Relationship to Student | Parent (Mother) |
Second Parent/ Legal Guardian Marital Status | Divorced |
Second Parent/ Legal Guardian Legal Custody (yes/no) | Yes |
Second Parent/ Legal Guardian - Lives with Student (yes/no) | Yes |
Is Second Parent a Saint Henry District High School alumni? | No |
Student(s) Information Section | |
Student 1 Legal Name | Samuel James Haubner |
Student 1 Preferred Name | Samuel |
Student 1 - Grade Entering | 9 |
Student 1 Student Social Security | 852-88-4328 |
Student 1 Gender | Male |
Student 1 Birth Date | 05/20/2010 |
Student 1 Birth Country | United States |
Student 1 Race | Other |
Student Ethnicity | Third Choice |
Student 1 Birth State | North Carolina |
Student 1 Birth County | Catawba |
Student 1 County of Residence | Boone County (KY) |
Student 1 Lives Primary Parent /Guardian (yes/no) | Yes |
Student 1 School is currently attending or attended | IHM Grade School |
Athletic Information | |
Did the student(s) play a sport at your previous school? | No |
Emergency Information | |
First Emergency Contact Name | Aaron Haubner |
First Emergency Contact Relationship | Father |
First Emergency Contact Phone | (859) 962-2931 |
First Emergency Contact Email | Email hidden; Javascript is required. |